| NPI | 1851803167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMLEY WHITESIDE Executive Director 856-885-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 251X00000X Supports Brokerage | |
| 251S00000X Community/Behavioral Health | |
| 101YP1600X Counselor, Pastoral | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2025-10-29 |